A home health nurse is reviewing a client’s electronic medical

A home health nurse is reviewing a client’s electronic medical record. Exhibit 1 Nurses’ Notes 1015: Client returned from the operating room following an implantable cardioverter/defibrillator (ICD) and pacemaker placement. Client is lethargic but orientated x3 and reports pain as a 2 on a scale of 0 to 10. Surgical incision left upper chest is dressed, dry, and intact. 1300: Client is awake and alert x4 and tolerating oral intake. Reports pain as a 2 on a scale of 0 to 10. Client was able to ambulate to the bathroom with minimal assistance. Client will be discharged to home. Home health nursing services scheduled for home visit. The home health nurse is providing client teaching. Which of the following information should the home health nurse include in the client’s discharge instructions? Select all that apply. Avoid wearing tight clothing over the generator site. Record your heart rate daily. Participate in strenuous exercise weekly. Call 911 immediately if the ICD discharges. Avoid exposure with handheld wand metal detectors.

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